INSTRUCTIONS:

This application form should be typed and completed by the applicant. Each question must be answered clearly and completely. Detailed answers are required in order to make the most appropriate arrangements. If necessary, additional pages of the same size may be attached. 本表請申請人詳實工整填寫，慎勿遺漏，以利配合作業，如有需要，申請人可自行以同款紙張加頁說明。

Please check. 請選以下選項

Which type of scholarship are you applying for? □ Undergraduate Scholarship大學獎學金□ Master Scholarship碩士獎學金

□ Doctoral Scholarship 博士獎學金

Do you need to attend a Chinese Language Enrichment Program (The LEP program must be undertaken during the first year)? □ Yes □ No (If “yes”, please fill in the name of the language center for item 7 on page 4 and apply for admissions to a degree program for the 2018 academic year.)

PERSONAL DATA 個人基本資料

a.NAME姓名

Title 稱謂： Mr./Mrs./Ms.Surname（Last name）姓：Given Name(s) 名：

Chinese Name 中文姓名：

Please attach a recent photograph taken within the last 3 months.最近三個月相片

b.CITY and COUNTRY OF BIRTH 出生.城市及國別

c. NATIONALITY國籍

*Note: If one or both of your parents was an ROC national at the time of your birth, you are an ROC national as well and therefore not eligible to apply.